| NPI | 1154783314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60871362) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-08-01 |